Tranexamic Acid interactions
Full monograph for Tranexamic AcidCheck it against another medicine
Medicines
35 documented
Mechanism
| Medicine | Severity | Mechanism | Effect | Sources |
|---|---|---|---|---|
| Carfilzomib | Major | Synergy | Venous thromboembolic events, including deep vein thrombosis (DVT) and pulmonary embolism (PE), have occurred during treatment with carfilzomib, and concurrent… | 3 sources — open the full entry |
| Clindamycin + Tretinoin | Major | Synergy | Coadministration of tretinoin (all-trans retinoic acid) with antifibrinolytic agents may increase the risk of thrombosis. Tretinoin is associated with a risk… | 3 sources — open the full entry |
| Conjugated EstrogenCreamTablet | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Conjugated Estrogen + Bazedoxifene | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an…2 documented mechanisms | 14 sources — open the full entry |
| Cyproterone Acetate + Ethinyl Estradiol | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Desogestrel | Major | Synergy | Because tranexamic acid is an antifibrinolytic agent, concomitant use may further exacerbate the risk of thrombotic events, including venous thromboembolism as… | 6 sources — open the full entry |
| Dienogest | Major | Synergy | Because tranexamic acid is an antifibrinolytic agent, concomitant use may further exacerbate the risk of thrombotic events, including venous thromboembolism as… | 6 sources — open the full entry |
| Dienogest + Estradiol Valerate | Major | Synergy | Because tranexamic acid is an antifibrinolytic agent, concomitant use may further exacerbate the risk of thrombotic events, including venous thromboembolism as…2 documented mechanisms | 14 sources — open the full entry |
| Drospirenone | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Drospirenone + Estetrol | Major | Others · Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an…2 documented mechanisms | 44 sources — open the full entry |
| Drospirenone + Estradiol | Major | Others · Synergy | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 46 sources — open the full entry |
| Drospirenone + Ethinyl Estradiol0.02 mg0.03 mg | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 38 sources — open the full entry |
| Drospirenone + Ethinyl Estradiol + Levomefolate | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 38 sources — open the full entry |
| Estradiolbasevaginal cream | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Estradiol + Dydrogesterone | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Estradiol Hemihydrate + Progesterone Micronized | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Estradiol Valerate | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Ethinyl Estradiol + Desogestrel0.02 mg0.03 mg | Major | Others · Synergy | Because tranexamic acid is an antifibrinolytic agent, concomitant use may further exacerbate the risk of thrombotic events, including venous thromboembolism as…2 documented mechanisms | 44 sources — open the full entry |
| Ethinyl Estradiol + Gestodene | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Ethinyl Estradiol + Levonorgestrel + Ferrous Fumarate | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 38 sources — open the full entry |
| Ethinyl Estradiol + Lynestrenol0.0375 mg0.05 mg | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Fluocinolone Acetonide + Hydroquinone + Tretinoin | Major | Synergy | Coadministration of tretinoin (all-trans retinoic acid) with antifibrinolytic agents may increase the risk of thrombosis. Tretinoin is associated with a risk… | 3 sources — open the full entry |
| Levonorgestrel [For emergency contraception] | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Medroxyprogesterone AcetateInjectionTablet | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Norethisterone Acetate | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Norgestrel + Ethinyl Estradiol + Ferrous Fumarate | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 38 sources — open the full entry |
| Norgestrel [For breastfeeding mother] | Major | Others | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent… | 38 sources — open the full entry |
| Ospemifene | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Relugolix + Estradiol + Norethindrone | Major | Others · Synergy | There are no clinical data on the use of tranexamic acid in combination with hormonal contraceptives. Because tranexamic acid is an antifibrinolytic agent…2 documented mechanisms | 46 sources — open the full entry |
| Tamoxifen Citrate | Major | Synergy | There are no clinical data on the use of tranexamic acid in combination with estrogens or selective estrogen receptor modulators. Because tranexamic acid is an… | 8 sources — open the full entry |
| Tretinoin (Oral) | Major | Synergy | Coadministration of tretinoin (all-trans retinoic acid) with antifibrinolytic agents may increase the risk of thrombosis. Tretinoin is associated with a risk… | 3 sources — open the full entry |
| Alteplase | Moderate | Antagonism | Coadministration of an antifibrinolytic agent (e.g., aminocaproic acid, tranexamic acid, aprotinin) in combination with a tissue plasminogen activator (t-PA)… | 4 sources — open the full entry |
| Streptokinase | Moderate | Antagonism | Coadministration of an antifibrinolytic agent (e.g., aminocaproic acid, tranexamic acid, aprotinin) in combination with a tissue plasminogen activator (t-PA)… | 4 sources — open the full entry |
| Tenecteplase | Moderate | Antagonism | Coadministration of an antifibrinolytic agent (e.g., aminocaproic acid, tranexamic acid, aprotinin) in combination with a tissue plasminogen activator (t-PA)… | 4 sources — open the full entry |
| Ticagrelor | Minor | Antagonism | Antifibrinolytic agents (e.g., aminocaproic acid or tranexamic acid) and recombinant factor VIIa may increase hemostasis and antagonize the effects of… | 2 sources — open the full entry |
Conditions
Conditions in which Tranexamic Acid needs care, as documented in this source.
Disseminated Intravascular Coagulation
MajorThe use of tranexamic acid is contraindicated in patients with active intravascular clotting.
1 source
- "Product Information. Lysteda (tranexamic acid)." Xanodyne Pharmaceuticals Inc (2022):
Subarachnoid Hemorrhage
MajorThe use of tranexamic acid is contraindicated in patients with subarachnoid hemorrhage. Cerebral edema and infarction can occur in patients with subarachnoid hemorrhage.
1 source
- "Product Information. Cyklokapron (tranexamic acid)." Pharmacia and Upjohn (2001):
Color Vision Defects
ModerateTranexamic acid should be used with caution in patients with acquired defective color vision or visual disturbances. Poorly characterized visual abnormalities have been reported in patients during tranexamic acid therapy. Retinal degeneration in a variety of animal species (not human) at oral and IV doses 3 to 40 times the recommended human dosage has been noted. Ophthalmologic testing and monitoring (visual acuity, and optical coherence tomography) prior to and at regular intervals during treatment is recommended for patients treated longer than 3 months. Discontinue treatment if changes in ophthalmological examination occur.
1 source
- "Product Information. Cyklokapron (tranexamic acid)." Pharmacia and Upjohn (2001):
Kidney Diseases
ModerateTranexamic acid is primarily eliminated by the kidney. Approximately 95% of tranexamic acid is excreted in the urine unchanged. The serum concentration of tranexamic acid is increased and the elimination half-life prolonged in patients with renal impairment. Therapy with tranexamic acid should be administered cautiously and dosages reduced in patients with compromised renal function. Clinical monitoring of renal and clotting functions is recommended.
1 source
- "Product Information. Cyklokapron (tranexamic acid)." Pharmacia and Upjohn (2001):
Seizures
ModerateConvulsions have been reported in association with tranexamic acid treatment, particularly in patients receiving tranexamic acid during cardiovascular surgery and in patients inadvertently given tranexamic acid into the neuraxial system. Caution is advised if administering in patients with convulsive disorders.
1 source
- "Product Information. Lysteda (tranexamic acid)." Xanodyne Pharmaceuticals Inc (2022):